Burns, most commonly caused by fire, can also result from chemicals, electricity, and other heat accidents, such as scalding hot water or steam. More than 300 000 persons die each year worldwide because of fire-related burn injuries. Many more are seriously injured, disabled, or disfigured because of all types of burns. Risk factors for burns include cooking with an open flame, open cooking facilities on the ground floor of a building or residence, wearing loose clothing while cooking, smoking, alcohol use, water heaters that are set too hot, poor electrical safety, and unsupervised children. Occupational injuries involving burns can also occur, especially at job sites with open flames, chemicals, or superheated materials. The October 28, 2009, issue of JAMA includes an article about access to care for severe burn injuries in the United States.